Organization · Type 2 NPI

Primary Health Services Center

Federally Qualified Health Center (FQHC) · West Monroe, LA

NPI number 1104384205 Active

Practice location

301 Mcmillan Rd
West Monroe, LA 71291-5323

Call (318) 737-7616 Map

Fax (318) 855-5158

Mailing address

PO Box 7495
Monroe, LA 71211-7495

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

James Murphy Henderson Jr., DDSGeneral Practice Dentistry West Monroe, LA NPI 1124245030

Other federally qualified health center (fqhc) providers in West Monroe

See all in West Monroe →

NPI record

NPI: 1104384205
Entity type: Organization (Type 2)
Issued: Mar 7, 2019
Last updated: Apr 15, 2021
Status: Active

Other names

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PHSC West Monroe Family Health Center · doing business as
PHSC West Monroe Family Health Center · doing business as

Authorized official

Mrs. Catherine M Tonore
Chief Executive Officer
(318) 388-1250

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104384205

Primary Health Services Center's National Provider Identifier is 1104384205, issued on Mar 7, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in West Monroe, LA. The record was last updated on Apr 15, 2021.